Individual
BARRY IRA FREEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
31508
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1169F
BCBS
—
05
—
2005237000
—
WV
01
—
36567
MEDCOST
—
01
—
4197071
AETNA
—
01
—
5018
PARTNERS
—
05
—
6036465
—
VA
05
—
8933763
—
NC
05
—
N31508
—
SC
Enumeration date
12/08/2005
Last updated
05/07/2008
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